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Pulmonary Hypertension
Increased pressures in the pulmonary circulation and investigation of the cause.
01What does raised pulmonary artery pressure on an echocardiogram mean?+
It means that echocardiographic measurements indicate the possibility of increased pressures in the pulmonary circulation.
It is not in itself a definitive diagnosis of pulmonary hypertension.
02Does it automatically mean I have pulmonary hypertension?+
No.
The echocardiogram assesses the probability and needs to be evaluated along with the overall picture and other findings.
03What is an RVSP or PASP?+
They are echocardiographic estimates of pressures related to the right heart and pulmonary circulation.
They should not be interpreted in isolation.
04What are the possible causes?+
Increased pressure in the pulmonary circulation can be associated with different cardiac, pulmonary or other conditions.
So the next step is to look for the cause and not just confirm a number.
05What symptoms can it cause?+
It can cause shortness of breath, reduced stamina, fatigue and in more severe cases dizziness or syncope.
06Why do we examine the right heart?+
Because the right ventricle is the one that sends blood to the pulmonary circulation and can be affected when pressures are elevated.
07When is further investigation required?+
When ultrasound, symptoms, or history raise substantial suspicion of pulmonary hypertension, investigation is determined according to the likely cause and severity.
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